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#vyvanse is a stimulant so it works kinda like caffeine. caffeine is a stimulant too after all.
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I’m so happy to have found you! I actually just got diagnosed with adult add (inattentive type). Procrastinating and finishing tasks once they get complicated has been awful for me. I’ll be starting on Vyvance tomorrow. Do you have any advice for being on this medication? I know I need to watch my bp and avoid/limit alcohol. I read that caffeine and vitamin c can also interfere with the medication too...I’d really appreciate any tips or info that you can share! Thanks 💗
Okay hi nonny! I'm sorry it took me a bit here and that you've already started your meds.
Please keep in mind I'm not a doctor and if you have any concerns about what to look for on the medication, you should speak to your medical professional and a pharmacist.
That being said, I only have to watch my blood pressure closely because I already had high BP. I am also at a higher risk for heart issues and BP issues because of my weight, diet, and family history. My dad has an enlarged heart, super high BP, and type 2 diabetes. My maternal Grandpa has high BP and had a mini stroke not too long ago. My dad is also adopted and we know nothing about his birth family or their medical history so there are lots of factors playing into it.
Unless you are at a high risk or already have issues with your BP, I wouldn't just go out and buy a BP machine. Just check it at your pharmacy once in a while and keep a journal.
As for the alcohol, it doesn't really affect the medication, however you might feel that the alcohol hits you faster. I wasn't a light weight before starting the meds, and now, I can't have one drink without feeling it.
The things about caffeine and vitamin C are bullshit. The only thing that Caffeine could possibly, is make you shaky and anxious. It's the same as usual with the caffeine. I drink energy drinks a lot and they don't interact with the medications. Again, ask your pharmacist too just to be sure!
When it comes to the vitamin C, most of the time people are talking about the citric acid in it. A lot of times, the citric acid can cancel out some medications. This is seen commonly in the birth control pills, as well as plan B.
Personally, I haven't found an issue with that yet but I also don't drink a lot of juice. I would ask your doctor or pharmacist just to be on the safe side though.
Now, where I am the highest dose is 70mg once per day. I am on 60mg once per day. I will tell you to NEVER stop this medication cold turkey. It is an amphetamine and can cause withdrawal symptoms if stopped suddenly.
As for other side effects there are a few. Some get worse with higher doses, and keep in mind that you might have a different experience than me.
For me, dry mouth is a huge thing. Drink lots of water (or liquids in general, yes even pop or coffee, not alcohol though). There is also mouthwash that you can get that helps with dry mouth if you feel it is bad enough.
Another one is the appetite suppression. Vyvanse can also be used to treat Binge Eating Disorder. I find that once my medication kicks in, I don't feel hunger. I try to eat right after I take my meds or at some point about halfway through the day. I also snack a lot. I eat when I'm bored or emotional so, for me, it's a blessing. I reccomend keeping easy snacks with you at all times. I like fruit snacks. Or nuts. Then I can just open and go, no waiting and I keep some in my bags as well as at my desk at home and in my cupboards.
I also have a hard time sleeping. I have found that if I take my meds too late, I am up forever. Try to take your meds at the same time every day, though you can change it around if need be. For instance, my psychiatrist told me that if I had school one day, which started at 4:30pm, I could take my meds at whatever time I felt it necessary to last the entire 3 hour class. Then if I had a psych appointment in the morning the next day, it was safe for me to take the meds earlier.
Vyvanse only lasts 24hours in your body. It is a medication that can be metabolised fairly quickly. You should feel almost instant effects, after giving it about an hour or so to kick in. Now, your dose might have to be changed but that's okay.
The other thing that I experience is the crash at the end of the day. I crash hard off my meds. It puts me in a bad mood and I get really emotional and tired and bitchy. I find it harder to control my emotions for at least an hour or so after I start coming down from the meds. I just like to sit and play a game or talk if needed. My boyfriend is amazing and will just kinda leave me alone once he realizes that I'm coming down.
If this is your first time taking meds for AD(H)D, don't get discouraged if it doesn't work for you. There are many different medications and even ones that aren't stimulants. Please also keep in mind that meds aren't meant to be a permanent fix. They are supposed to allow your brain to find some calm to hopefully help you be able to come up with systems and coping mechanisms that work for you. Although, if you end up being on meds for a long time, don't be ashamed about that either.
And if anyone ever tells you that you shouldn't need meds, or that the meds turn you into a zombie or zap you of your personality, hit them. Okay, don't do that but ya know. If meds do that to a person, they usually aren't working for what it is meant to.
My psychiatrist also told me that if I felt euphoric and high on these meds, that I more than likely didn't have ADHD. Again, keep a journal of symptoms and experiences you have. Even good ones! That way you can also track your progress.
Good luck my dear!
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abcsofadhd · 5 years
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On being diagnosed with ADHD in midlife
@campfiresbeerandcoffee got diagnosed with ADHD in their early 50s and I asked them to share their story. 
It’s kinda long but its a damn interesting read about a person’s experience with ADHD and a late diagnosis. It’s VERY well written and I’ve only spaced it out and bolded it for better readability.
Remember, it’s really NEVER too late to get a diagnosis.
I’ve known people with ADHD most of my life. I knew what it was, obviously. It was that boy who was socially inappropriate and weird, the one who got angry too fast, who touched oddly, who couldn’t sit still. 
It was the squirrel brained women I knew, that changed jobs, were super smart, had multiple competencies and could instantly grasp systems, but had so much drive they were always up, always working, always learning. It wasn’t ME.
It didn’t even occur to me that I had ADHD. I wasn’t a problem. I sat quietly in class, lost in my own thoughts, doodling. I could focus for hours on books, on coding, on the grains of sand on a sunny beach. I certainly didn’t have an attention disorder. 
My dad died in my 2nd year of uni. I didn’t do well. Well meaning counselors said I was high strung and should avoid all sugar and stimulants. Are you kidding? Caffeine kept me sane. Eventually I changed majors, and managed to graduate with a BA.
I even managed to get into grad school, and did entrepreneur things too. But eventually I crumbled again and didn’t finish my thesis. I had anger issues. I was high then low. I would rage and weep. I’d spend weeks in apathy, when I had everything I wanted: a business, a wife, wonderful family. But it was a long dark bleak tunnel every day.
Then I heard a radio show on chronic depression and recognized my symptoms. Got some help and medication, and managed to co-found a company.  The anti-depression meds helped, settling on Wellbutrin eventually. But things were still hard.
I got a straight job to help my wife start her career. I worked in an office, coding and structuring information systems. Prestige, recognition, it was great for my ego, good benefits and fair pay. 
10 years in this high performance position I crashed from accumulated stress when my mom died. I was prepared with Wellbutrin and counselling and even so I burned out with major depression and anxiety and ptsd symptoms.  
Took 3 years off work before I dared to take a job with minimal responsibility. In that time I had full on major ADHD symptoms but didn’t recognize them. I couldn’t say what I did all day. 
I couldn’t make a list, couldn’t go in the store. Couldn’t read. Couldn't feed myself. Couldn’t clean. Couldn’t listen. Just- floated in a fog of stress and anxiety. Developed skin issues, auto-immune issues, insomnia, eye twitches. Couldn’t even sit at a computer screen. I was completely useless. Couldn’t leave the house.
Eventually tho, as I worked through what I thought was PTSD, learning to accept the new broken me, I was able to watch a full 20 minute sitcom. Success! I was elated. Who could I tell? Who would celebrate that as an achievement? Yay, you watched TV? Pffft. 
But I was thrilled. And I could go to the store. Maybe even buy a few things. Often I’d just sit in the parking lot. But increasingly I could do some things around the house. Walk the dogs. Buy milk. So I accepted when opportunity offered me a lower-stress job related to my interests.
At my new job, I learned to make eye contact again, slowly re-learned to do simple math again. Cashing out would take me over an hour. I tried so hard to remember names and orders. Failed miserably. Tried to accept the new no-brain me. Found comfort in routine tasks. Developed coping strategies for memory. Accepted that maybe my purpose was to be a heart not a brain. My whole self-worth was always being the smart expert. Now I was busted. But that was ok, because it had to be! 
Medicated with prescription cannabis and started seeing big improvements in depressive symptoms. That led to being able to exercise. Exercise helped immensely. So I was bringing in a bit of money, I was leaving the house and interacting, and felt much better.
Met a co-worker who told me about her ADHD. I understood completely. Had my first “a-ha!” moment when someone asked me how was it that  I understood her. Oh. OH! Other people don’t understand her, and I do. Why?
But, I couldn’t be ADHD, surely? My coworker was classic ADHD in the way I then understood it. Changing topics all over in conversation, but I’d follow right along? We’d chat for hours after work. I grew to admire her strategies for getting things done, her tenacity, her acceptance that she could do things differently. 
And as I admired her force-of-nature engagement with the world, her acceptance of herself, I started to be open to the idea that there was more to ADHD than I thought. I really didn’t think I was ADHD, but how was it I could understand and keep up with her? And when I asked her about it, she looked at me like of course I probably had ADHD, and she thought I already knew?
So after working with her for 2 years I started to read about ADHD, because I was experiencing a little less stress and could focus to read again. But I hadn’t found out yet about the emotional dysregulation. I just knew I was functioning again, kinda. And so I embraced the feelings. I chased them, like an addict, seeking to feel good again.  
And boy did it feel good to let myself feel. I’d learned to build a box around my emotions, because I was always too sensitive, too happy, too sad, too worried. At my coding job, I just lost myself in matrices and code and denied my emotions.  My coworkers had affectionately called me Mr. Roboto. That hurt. But that was the old me. Now, I was going to LIVE and FEEL HAPPY, and it was great. I was elated. 
I partied and made new friends and drank too much and got stoned too much and talked too much and in my exploration  I left such wreckage around me. I was oblivious at first. But when I saw what I’d done, I was in torment. If I couldn’t be a brain, and I couldn’t be a heart, then what good was I? I desperately wanted to be ordinary, but I didn’t know how, and I was going to lose everything.
And then as I tried to get a handle on my behavior, some ADHD memes popped up on social media, and then they popped up with a funny story and I related. And again. And again. And I couldn’t ignore it anymore.
Your blog specifically woke me up to the emotional dysregulation aspect, and following that thread of research made my likely ADHD undeniable. So I did the predictable thing and denied it for another year.
Finally I went in for assessment because if I had it, I couldn’t let my kids go untested and if I was going to ask them to try, I had to start with me. Doc didn’t even blink. Basically said, of course you have ADHD. 
This has been everyone’s reaction, when I share my diagnosis with my friends: “Are you really surprised, really?” Yes, dammit, I am! It’s surprising and hard to hear, yes, you are in fact broken. But it’s also freeing. I can stop beating myself up.  I can get appropriate help. I can try meds.
I am terrified of stimulants, because I’m super sensitive to caffeine, and even Wellbutrin was unsustainable for me, causing too much jitters. But I’m taking my Vyvanse and being hopeful. If it doesn’t work out, there is a non stimulant option.
 I know meds won’t solve everything. I know that I have so many of the strategies already, I recognize them in the ADHD forums, and books. But maybe meds will leave me enough energy to address things. Maybe I’ll be able to Get Things Done.
This medicated hopeful happiness does feel a bit like mania, I’ve learned to be distrustful of my happiness. But if it’s going to be helpful, I’m going to try it.  It’s early days.
I’m reading Gina Petra’s Is It You, Me, or Adult ADD? Stopping the Roller Coaster When Someone You Love Has Attention Deficit Disorder. And it’s wrenching. I knew my latest crisis was hard on my family, but I didn’t realize it’s been the whole marriage, it’s been my whole life, school, college, career, midlife! It’s enlightening but hard to read testimonials from people living with untreated ADHD partners, and recognize myself in their stories. I had no idea of the extent ADHD was contributing to my personality and behavior.
My wife and kids deserve to be off the rollercoaster. I also deserve to be happy. I want to look forward to each day again instead of waking up knowing I’m going to fuck up again.
So it’s not a comfortable place to be, here in the spotlight. But it sure as hell beats being in the dark and blindly flinging myself in a new direction. It’s revealing. It means taking personal responsibility. 
But it also means hope. Hope that it can be better. Hope I can stop hurting the people I love. Hope I can be the person I want to be, the person I’ve been on occasion. It means hope for sustainable stable relationships and jobs. 
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